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患者男，63岁，因“乏力、纳差2个月”来诊。无饮酒、用药史。查体：血压150/70mmHg（1mmHg=0.133kPa），巩膜轻度黄染。肝生化：丙氨酸氨基转移酶（ALT）180U/L、天冬氨酸氨基转移酶（AST）102U/L、碱性磷酸酶（ALP）431U/L、γ-谷氨酰基转移酶（GGT）289U/L，总胆红素（TBil）48μmol/L，总蛋白（TP）85.4g/L，清蛋白（ALB）41.3g/L，胆固醇7.31mmol/L，总胆汁酸17.6μmol/L。抗-HAVIgM（-），HBsAg（-），抗-HCV（-），抗线位体抗体（AMA）阴性，抗核抗体阳性（效价1∶640）。腹部超声：肝实质回声增多。

符合该病特点的表现是（）

A.ALT增高大于正常上限5倍以上

B.IgG显著增高

C.IgM显著增高

D.抗肝肾微粒体抗体（LKM）阳性

E.IgA显著增高

F.可以合并干燥综合征

答案

参考答案：C, F

填空题


A How to Use a Painting Knife 使用画刀的方法
Painting with a knife is a bit like putting butter on bread and produces quite a (1) result to a brush. Painting knives are excellent for producing textured, impasto work and (2) areas of flat colour.
What’s the difference between a palette knife and a painting knife
A palette knife is a long, straight spatula that is used (3) mixing paints and scraping a palette clean. They’re made from metal, plastic, or wood and (4) either be completely straight or have a slightly bent handle. A painting knife has (5) large crank in the handle, which takes your hand away from the painting surface. They (6) in numerous shapes(for example pear-, diamond-, or trowel-shaped) and are used for painting (7) of a brush. The edge of the knife is blunt, so that it doesn’t cut the (8) .
·What shape of painting knife should I use
Different shaped painting knives produce different effects. For example, a short blade produces angular strokes (9)a long blade makes it easy to put down sweeps of colour.
·Why can’t I use a palette knife to paint with
You can. Painting (10) just have the advantage of coming in more angular shapes and with sharper points. And (11) larger crank in the handle means there’s less chance of rubbing your knuckles into wet (12) . If you’re unsure whether you’re going to enjoy painting with a knife, first buy a (13) , plastic palette knife and experiment a bit with this before upgrading to a wood-and-metal knife.
·How do I use painting knife
(14) the handle firmly so you’re got good control. Pick up some paint off your palette (15) the tip, as you’d pick up some butter with a knife. Use the side of the (16) to spread paint across your canvas, or press it onto the canvas, as you (17) spread butter across a slice of bread．It’ll seem strange at first as it’s quite (18) to using a brush. Using just the tip of the blade will produce small dots. (19) the edge of the knife down will produce fine lines. Pressing the blade flat down (20) the paint will produce ridges. Scrape back into the paint to reveal underlying layers (called sgraffito).

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单项选择题

国外工程咨询公司最基本、最广泛的业务是( )。

A．为业主服务

B．为承包商服务

C．为贷款方服务

D．联合承包工程
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